It is the practical experience gained in the operating room and on the wards dealing with complications and deviations from the typical or average scenario that matures and fully develops a surgeon. The typical textbook demonstrates the “right” or standard way to do things and the implicit assumption is that if these guidelines are followed then the patient and the surgeon’s life will be complication free. Good results come from experience and experience is gained by making mistakes. The goal of this book is to minimize the frequency of surgical complications and maximize the outcome when they do occur by allowing the reader to learn from the operative and clinical experience of those who have gone before so that each generation can collectively stand on the shoulders of the preceding generation without the need to learn from one’s own complications. This book is therefore designed less to address indications for operations than how to carry them out and provide postoperative care without complications. While the authors of the various chapters address the correct or right way to perform operations and care for patients after surgery, they have also been tasked to address and emphasize specific dos and don’ts for both intraoperative techniques and postoperative care that will reduce the incidence of complications. As some complications, alas, are inevitable, also addressed are the issues of timely recognition and appropriate treatment of complications when they do occur despite best efforts.
Author(s): Alex G. Little
Edition: 1
Year: 2004
Language: English
Pages: 464
Complications in Cardiothoracic Surgery : AVOIDANCE AND TREATMENT......Page 1
Contents......Page 7
List of contributors......Page 9
Introduction......Page 11
Acknowledgments......Page 12
Part I: General complications......Page 13
1. Complications of thoracic incisions......Page 15
2. Respiratory complications of thoracic operations......Page 48
3. Arrhythmias following cardiothoracic operations......Page 60
Part II: Complications of general thoracic surgery......Page 77
4. Complications of pulmonary resection......Page 79
5. Complications of tracheobronchial resection......Page 104
6. Complications of lung volume reduction procedures......Page 120
7. Complications of lung transplantation......Page 140
8. Pleural space problems......Page 147
9. Complications of chest wall reconstruction......Page 167
10. Complications of esophageal resection......Page 173
11. Complications of esophageal reconstruction......Page 185
12. Complications of antireflux surgery......Page 195
13. Complications of esophageal instrumentation......Page 214
14. Complications of mediastinal surgery......Page 242
Part III: Cardiac surgery......Page 267
15. Complications of coronary artery bypass surgery......Page 269
16. Complications of cardiopulmonary bypass and cardioplegia......Page 292
17. Complications of aortic surgery......Page 361
18. Complications of valvular surgery......Page 374
19. Postpericardiotomy syndrome......Page 397
20. Pulmonary and pleural complications after cardiac surgery......Page 402
21. Neurological complications in cardiac surgery......Page 417
Index......Page 449
